Provider Demographics
NPI:1043668338
Name:SURDEZ, MERICA (APRN)
Entity Type:Individual
Prefix:
First Name:MERICA
Middle Name:
Last Name:SURDEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MERICA
Other - Middle Name:
Other - Last Name:SCHREINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 WEST 8TH STREET
Mailing Address - Street 2:P O BOX 460
Mailing Address - City:ONAGA
Mailing Address - State:KS
Mailing Address - Zip Code:66521-0460
Mailing Address - Country:US
Mailing Address - Phone:785-889-5002
Mailing Address - Fax:785-889-7163
Practice Address - Street 1:114 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ONAGA
Practice Address - State:KS
Practice Address - Zip Code:66521-9574
Practice Address - Country:US
Practice Address - Phone:785-889-4241
Practice Address - Fax:785-889-4749
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS77236363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily